When infants are seen for fractures, which nursing intervention ...

[ts19998]

When infants are seen for fractures, which nursing intervention is a priority?
 
  a. No intervention is necessary. It is not uncommon for infants to fracture bones.
  b. Assess the family's safety practices. Fractures in infants usually result from falls.
  c. Assess for child abuse. Fractures in infants are often nonaccidental.
  d. Assess for genetic factors.

Question 2

Which nursing intervention is appropriate to assess for neurovascular competency in a child who fell off the monkey bars at school and hurt his arm?
 
  a. The degree of motion and ability to position the extremity.
  b. The length, diameter, and shape of the extremity.
  c. The amount of swelling noted in the extremity and pain intensity.
  d. The skin color, temperature, movement, sensation, and capillary refill of the extremity.

[owenfalvey]

Answer to Question 1

ANS: C
Fractures in infants warrant further investigation to rule out child abuse. Fractures in children younger than 1 year are unusual because of the cartilaginous quality of the skeleton; a large amount of force is necessary to fracture their bones. Infants should be cared for in a safe environment and should not be falling. Fractures in infancy are usually nonaccidental rather than related to a genetic factor.

Answer to Question 2

ANS: D
A neurovascular evaluation includes assessing skin color and temperature, ability to move the affected extremity, degree of sensation experienced, and speed of capillary refill in the extremity. The degree of motion in the affected extremity and ability to position the extremity are incomplete assessments of neurovascular competency. The length, diameter, and shape of the extremity are not assessment criteria in a neurovascular evaluation. Although the amount of swelling is an important factor in assessing an extremity, it is not a criterion for a neurovascular assessment.